45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
15,378
Insurances with rates
24
CPT / HCPCS codes
2,993
Most expensive procedures (gross)
00310-4535-30
$54,600
Imjudo
Gross
$78,000
00003-2328-22
$42,008
Yervoy
Gross
$60,011
25682-0028-01
$39,449
Ultomiris
Gross
$56,355
00008-0100-01
$27,774
Besponsa
Gross
$39,678
50242-0105-01
$27,619
Polivy
Gross
$39,456
25543749
$23,100
Cardiac Cath Time Over 3 hours
Gross
$33,000
50242-0150-01
$22,750
Ocrevus
Gross
$32,500
C1883
$21,672
ADAPTOR/EXTENSION; PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE)
Gross
$30,960
L8680
$21,672
IMPLANTABLE NEUROSTIMULATOR ELECTRODE; EACH
Gross
$30,960
25543748
$20,097
Cardiac Cath Time 2 hours 45 minutes-3 hours
Gross
$28,710
25543746
$18,422
Cardiac Cath Time 2 hours 30 minutes-2 hours 45 mi
Gross
$26,318
63685
$18,236
INS/RPLC SPI NPG/RCVR POCKET
Gross
$26,051
59572-0775-01
$17,621
Reblozyl
Gross
$25,172
00990-8004-15
$17,304
Dextrose
Gross
$24,720
25543745
$16,748
Cardiac Cath Time 2 hours 15 minutes-2 hours 30 mi
Gross
$23,925
50242-0917-01
$16,712
Tecentriq
Gross
$23,874
73150-0150-06
$16,565
Briumvi
Gross
$23,664
00006-3083-01
$16,136
Keytruda Qlex
Gross
$23,052
00024-5824-11
$16,080
Jevtana
Gross
$22,972
C1778
$15,292
LEAD; NEUROSTIMULATOR (IMPLANTABLE)
Gross
$21,845
5098758
$15,168
OR001792
Gross
$21,669
36906
$15,107
REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEG
Gross
$21,581
25543744
$15,073
Cardiac Cath Time 2 hours-2 hours 15 minutes
Gross
$21,533
C1813
$14,671
PROSTHESIS; PENILE; INFLATABLE
Gross
$20,959
3845235
$14,623
OR001519
Gross
$20,890
3845241
$14,623
OR002536
Gross
$20,890
3845239
$14,623
OR002532
Gross
$20,890
3845240
$14,623
OR002533
Gross
$20,890
3845270
$14,623
OR001549
Gross
$20,890
00074-3473-03
$14,163
Lupron Depot
Gross
$20,233
61755-0008-01
$13,454
Libtayo
Gross
$19,219
25543743
$13,398
Cardiac Cath Time 1 hour 45 minutes-2 hours
Gross
$19,140
37231
$12,937
TIB/PER REVASC STENT & ATHER
Gross
$18,482
37227
$12,937
FEM/POPL REVASC STNT & ATHER
Gross
$18,482
00008-4510-01
$12,179
Mylotarg
Gross
$17,399
50458-0609-01
$11,810
Invega Trinza
Gross
$16,871
25543742
$11,723
Cardiac Cath Time 1 hour 30 minutes-1 hour 45 minu
Gross
$16,748
51144-0050-01
$11,578
Adcetris
Gross
$16,540
14424365
$11,574
OR47494
Gross
$16,534
00003-3734-13
$11,343
Opdivo
Gross
$16,204
68727-0712-01
$11,242
Zepzelca
Gross
$16,060
50242-0176-01
$11,163
TNKase
Gross
$15,947
72152-0547-20
$10,952
Zulresso
Gross
$15,646
50242-0120-47
$10,918
TNKase
Gross
$15,597
3846228
$10,899
OR001831
Gross
$15,571
64764-0300-20
$10,799
Entyvio
Gross
$15,426
25682-0025-01
$10,759
Ultomiris
Gross
$15,370
57894-0503-01
$10,604
Darzalex Faspro
Gross
$15,148
50242-0109-01
$10,523
Rituxan Hycela
Gross
$15,032
00003-2327-11
$10,502
Yervoy
Gross
$15,003
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00310-4535-30 | Imjudo | $78,000 | $54,600 | — | — | 6 |
| 00003-2328-22 | Yervoy | $60,011 | $42,008 | — | — | 6 |
| 25682-0028-01 | Ultomiris | $56,355 | $39,449 | — | — | 6 |
| 00008-0100-01 | Besponsa | $39,678 | $27,774 | — | — | 6 |
| 50242-0105-01 | Polivy | $39,456 | $27,619 | — | — | 6 |
| 25543749 | Cardiac Cath Time Over 3 hours | $33,000 | $23,100 | — | — | 0 |
| 50242-0150-01 | Ocrevus | $32,500 | $22,750 | — | — | 6 |
| C1883 | ADAPTOR/EXTENSION; PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE) | $30,960 | $21,672 | — | — | 2 |
| L8680 | IMPLANTABLE NEUROSTIMULATOR ELECTRODE; EACH | $30,960 | $21,672 | — | — | 1 |
| 25543748 | Cardiac Cath Time 2 hours 45 minutes-3 hours | $28,710 | $20,097 | — | — | 0 |
| 25543746 | Cardiac Cath Time 2 hours 30 minutes-2 hours 45 mi | $26,318 | $18,422 | — | — | 0 |
| 63685 | INS/RPLC SPI NPG/RCVR POCKET | $26,051 | $18,236 | — | — | 10 |
| 59572-0775-01 | Reblozyl | $25,172 | $17,621 | — | — | 6 |
| 00990-8004-15 | Dextrose | $24,720 | $17,304 | — | — | 0 |
| 25543745 | Cardiac Cath Time 2 hours 15 minutes-2 hours 30 mi | $23,925 | $16,748 | — | — | 0 |
| 50242-0917-01 | Tecentriq | $23,874 | $16,712 | — | — | 6 |
| 73150-0150-06 | Briumvi | $23,664 | $16,565 | — | — | 6 |
| 00006-3083-01 | Keytruda Qlex | $23,052 | $16,136 | — | — | 0 |
| 00024-5824-11 | Jevtana | $22,972 | $16,080 | — | — | 6 |
| C1778 | LEAD; NEUROSTIMULATOR (IMPLANTABLE) | $21,845 | $15,292 | — | — | 2 |
| 5098758 | OR001792 | $21,669 | $15,168 | — | — | 0 |
| 36906 | REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEG | $21,581 | $15,107 | — | — | 11 |
| 25543744 | Cardiac Cath Time 2 hours-2 hours 15 minutes | $21,533 | $15,073 | — | — | 0 |
| C1813 | PROSTHESIS; PENILE; INFLATABLE | $20,959 | $14,671 | — | — | 1 |
| 3845235 | OR001519 | $20,890 | $14,623 | — | — | 0 |
| 3845241 | OR002536 | $20,890 | $14,623 | — | — | 0 |
| 3845239 | OR002532 | $20,890 | $14,623 | — | — | 0 |
| 3845240 | OR002533 | $20,890 | $14,623 | — | — | 0 |
| 3845270 | OR001549 | $20,890 | $14,623 | — | — | 0 |
| 00074-3473-03 | Lupron Depot | $20,233 | $14,163 | — | — | 6 |
| 61755-0008-01 | Libtayo | $19,219 | $13,454 | — | — | 6 |
| 25543743 | Cardiac Cath Time 1 hour 45 minutes-2 hours | $19,140 | $13,398 | — | — | 0 |
| 37231 | TIB/PER REVASC STENT & ATHER | $18,482 | $12,937 | — | — | 5 |
| 37227 | FEM/POPL REVASC STNT & ATHER | $18,482 | $12,937 | — | — | 5 |
| 00008-4510-01 | Mylotarg | $17,399 | $12,179 | — | — | 6 |
| 50458-0609-01 | Invega Trinza | $16,871 | $11,810 | — | — | 0 |
| 25543742 | Cardiac Cath Time 1 hour 30 minutes-1 hour 45 minu | $16,748 | $11,723 | — | — | 0 |
| 51144-0050-01 | Adcetris | $16,540 | $11,578 | — | — | 6 |
| 14424365 | OR47494 | $16,534 | $11,574 | — | — | 0 |
| 00003-3734-13 | Opdivo | $16,204 | $11,343 | — | — | 6 |
| 68727-0712-01 | Zepzelca | $16,060 | $11,242 | — | — | 6 |
| 50242-0176-01 | TNKase | $15,947 | $11,163 | — | — | 6 |
| 72152-0547-20 | Zulresso | $15,646 | $10,952 | — | — | 0 |
| 50242-0120-47 | TNKase | $15,597 | $10,918 | — | — | 6 |
| 3846228 | OR001831 | $15,571 | $10,899 | — | — | 0 |
| 64764-0300-20 | Entyvio | $15,426 | $10,799 | — | — | 6 |
| 25682-0025-01 | Ultomiris | $15,370 | $10,759 | — | — | 6 |
| 57894-0503-01 | Darzalex Faspro | $15,148 | $10,604 | — | — | 6 |
| 50242-0109-01 | Rituxan Hycela | $15,032 | $10,523 | — | — | 6 |
| 00003-2327-11 | Yervoy | $15,003 | $10,502 | — | — | 6 |
Showing top 50 of 15,378 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.